Dimov, Ivailo Dichev

Dimov, Ivailo Dichev is an sole proprietor health care provider with primary practice located at 77 Blackhawk Rd , Highland Park IL 60035-5227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dimov, Ivailo Dichev can be contacted via phone (847) 208-0532.

Contact Information

Primary practice address
77 Blackhawk Rd Highland Park IL 60035-5227
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036101550 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A76262 California

Profile Details

NPI number 1578662631
LBN Legal business name Dimov, Ivailo Dichev
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2006
Last updated Mar 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers